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Cleft Lip Repair, Both Sides, First Stage

Nebraska rates for HCPCS 40702

Repairs a cleft, or gap, running through both sides of the upper lip in a child, bringing the separated tissue and muscle together and shaping a natural lip border. This is planned as the first of two operations, with the second completing the repair later. It is the child's first repair of the lip rather than a revision of earlier surgery.

Rates data updated July 2026.

How much does Cleft Lip Repair, Both Sides, First Stage cost?

$1,995

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $8,511 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,585$1,175 to $2,188
FacilityA hospital or hospital-owned outpatient department$8,511$6,457 to $12,589

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,169 to $16,596Professionalmedian $1,585 · 10th to 90th $912 to $5,370
$1K$2K$5K$10K$20Kfacility $8,511professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,488.17
Typical High
$30,199.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,995.26
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$7,585.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,041.74
Typical High
$2,570.40

Where Nebraska sits

The same service costs 6.6 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 10th of 51

$1,995

CA $6,457WV $977

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.